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A Treatment Package without Escape Extinction to Address Food Selectivity
Published on: August 21, 2015
Novel screening intervention to address food insecurity in hospitalized children
Ariel Carpenter1, Adolfo Molina1, Mary Orr1
1Division of Pediatric Hospital Medicine, Department of Pediatrics, University of Alabama at Birmingham Heersink School of Medicine, Birmingham, Alabama, USA.
Insights
A new screening method significantly improved the identification of food insecurity in hospitalized children, reaching rates closer to community levels. This approach also better identified food insecure Hispanic and Latino families, addressing disparities in standard screening.
Area of Science:
- Pediatric healthcare
- Public health nutrition
- Health equity
Background:
- Standard screening for food insecurity in hospitalized children is insufficient, identifying only 4.1% of cases compared to community rates of 18.3%-23.3%.
- Existing methods may miss vulnerable populations, contributing to health disparities.
Purpose of the Study:
- To implement and evaluate a novel, nonclinical screening method for identifying food insecurity in hospitalized children.
- To improve the accuracy of food insecurity identification and address disparities in detection among Hispanic/Latino families.
Main Methods:
- A novel screening tool was administered at a time separate from hospital admission.
- Screening data was analyzed to compare identification rates with community prevalence and standard screening methods.
Main Results:
- The novel screening method identified food insecurity in 18.1% of families, closely matching community rates.
- This method demonstrated improved identification of food insecurity among Spanish-speaking and Hispanic/Latino families compared to standard screening.
Conclusions:
- A nonclinical, admission-uncoupled screening approach is more effective for identifying food insecurity in hospitalized children.
- The findings highlight significant disparities in standard screening practices and underscore the need for culturally sensitive and accessible methods.
Abstract:
Despite efforts to standardize and optimize screening of hospitalized children for food insecurity, rates of identified food insecurity (4.1%) remained far below the known community rate (18.3%-23.3%). We aimed to improve identification of food insecure families through a novel screening method, utilizing a nonclinical screener at a time uncoupled from admission. The positive food insecurity rate resulting from this screen closely approximated the community rate (18.1%). In addition, the novel screening method better identified Spanish speaking and Latino/Hispanic families with food insecurity, highlighting a disparity in the standard screening process.
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